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Bentley Gilbert v. Brundage Bone Concrete Pumping, Inc.

Decision date: August 29, 201214 pages

Summary

The Commission affirmed the Administrative Law Judge's award granting permanent total disability benefits to employee Bentley Gilbert, with the Second Injury Fund determined to be liable. The case involved a dispute over the weekly compensation rate for permanent total disability benefits, with the parties' stipulated rate of $340.12 upheld despite employee's later challenge.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge by Supplemental Opinion)
Injury No.: 03-140766
Employee:Bentley Gilbert
Employer:Brundage Bone Concrete Pumping, Inc. (Settled)
Insurer:Builders Assoc. Self Insurance (Settled)
Additional Parties:Treasurer of Missouri as Custodian of Second Injury Fund
This workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. We have reviewed the evidence, read the parties’briefs, and considered the whole record. Pursuant to § 286.090 RSMo, we issue this final award and decision affirming the award and decision of the administrative law judge by supplemental opinion. We adopt the findings, conclusions, decision, and award of the administrative law judge to the extent that they are not inconsistent with our supplemental findings and comments set forth below.
IntroductionThe parties stipulated the following issues for resolution by the administrative law judge: (1) whether the Second Injury Fund has any liability; (2) whether employee is entitled to permanent total disability benefits from the Second Injury Fund; and (3) when employee reached maximum medical improvement.The administrative law judge rendered the following findings and conclusions: (1) the Second Injury Fund is liable for, and employee is entitled to, permanent total disability benefits; and (2) employee reached maximum medical improvement on December 23, 2004.Employee filed a timely Application for Review with the Commission alleging that the administrative law judge erred in honoring the parties’ stipulation setting the weekly compensation rate for permanent total disability benefits at $340.12.
DiscussionAt the outset of the hearing on December 12, 2011, the administrative law judge recited the disputed issues and stipulations for the record. Among other things, the administrative law judge recited that the parties were stipulating that the appropriate weekly compensation rate for permanent total disability benefits is $340.12. At the end of reciting all of the stipulations and issues, the administrative law judge asked the parties whether there was any other issue or stipulation of which she should be aware. Both parties indicated there were no other issues or stipulations. Thereafter, the parties did not advance any evidence as to the issue of compensation rate, apart from a “Stipulation for Compromise of Lump Sum Settlement” entered between employee and employer. SeeTranscript, page 54. The “rate of weekly compensation” listed in this document is $340.12.Id.

The briefs submitted by the parties, as well as the award by the administrative law judge, reflect that, after the hearing, employee submitted a proposed award that recited $\ 649.32 as the weekly compensation rate for permanent total disability benefits. Noting the discrepancy between this rate and the stipulation of the parties, the administrative law judge agreed to reopen the record and invited the parties to submit a substitute stipulation regarding the compensation rate on or before January 11, 2012. The parties failed to do so.

In a communication submitted January 13, 2012, employee asked the administrative law judge to take administrative notice of the Report of Injury from the legal file of the Division of Workers' Compensation (Division), or alternatively mark it as an exhibit, and accept it as evidence that employee's average weekly wage was $\ 771.00. In her award, the administrative law judge denied employee's request. The administrative law judge noted that, even if she were to accept the Report of Injury as evidence that employee's average weekly wage was $\ 771.00, this wage would not entitle employee to a weekly compensation rate of $\ 649.32 for permanent total disability benefits, as alleged in the proposed award. The administrative law judge ultimately concluded that, given the lack of any credible evidence on the issue, she would accept the parties' original stipulation that the weekly compensation rate for permanent total disability benefits is $\ 340.12. See Award, page 3, n.1.

The Division's legal file contains docket entries indicating that on February 7, 2012, employee filed a Motion to Correct the Award, and that the administrative law judge denied the Motion the same day.

In his Application for Review, employee asks us to take notice of a purported Report of Injury filed by employer, and amend the award to reflect a rate of compensation consistent with an average weekly wage of $\$ 771.00,{ }^{1}$ or alternatively reopen the record to take additional evidence from the parties on the issue of the appropriate weekly compensation rate for permanent total disability benefits. The Second Injury Fund objects to both of these requests.

To the extent employee is asking that we consider evidence that was not offered and received into evidence at the hearing, we must deny that request because employee has failed to satisfy the requirements of 8 CSR 20-3.030(2), our rule pertaining to the submission of additional evidence. In pertinent part, the rule states as follows:

After an application for review has been filed with the commission, any interested party may file a motion to submit additional evidence to the commission. The hearing of additional evidence by the commission shall not be granted except upon the ground of newly discovered evidence which with reasonable diligence could not have been produced at the hearing before the administrative law judge. The motion to submit additional evidence shall set out specifically and in detail--

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[^0]: ${ }^{1}$ In his brief, employee advances two different "correct" weekly compensation rates for permanent total disability benefits: $\ 540.03 (on page 1) and $\ 514.03 (on page 2).

  1. The nature and substance of the newly discovered evidence;

...

  1. Full and accurate statement of the reason the testimony or exhibits reasonably could not have been discovered or produced at the hearing before the administrative law judge; ...

As we have recounted, the hearing in this matter took place on December 12, 2011. Employee fails to identify any newly discovered evidence pertinent to the question of compensation rate that, with the exercise of reasonable diligence, could not have been produced at the hearing. Employee identifies a purported copy of a Report of Injury filed by employer, attached as Exhibit C to his Application for Review, as evidence of his average weekly wage. But employee does not identify the date that this document was discovered. ${ }^{2}$ Nor has employee provided any explanation of the reason why this Report of Injury could not have been marked and offered at the hearing. Accordingly, we deny employee's request to submit additional evidence.

Employee alternatively requests that we take notice of the Report of Injury and amend the award to modify the weekly rate of compensation for permanent total disability benefits. Incidentally, we note that, for unknown reasons, there is no Report of Injury contained within the legal file that was forwarded to us by the Division in connection with this case. But even if there were, we believe we would be required to deny employee's request. There is some authority suggesting that a Report of Injury, not admitted into evidence but nevertheless contained within the Division's legal file, may, in certain circumstances, be considered as evidence as to the substantive issues in a workers' compensation proceeding, e.g., Sublett v. Columbia, 652 S.W.2d 189, 193 (Mo. App. 1983), but employee has failed to provide us with authority demonstrating that we would be permitted to rely upon such evidence to contravene a stipulation by the parties. Meanwhile, there is ample authority that parties' stipulations at a hearing before an administrative law judge are controlling and conclusive. Boyer v. Nat'l Express Co., 49 S.W.3d 700, 705 (Mo. App. 2001).

Employee cites International Dehydrated Foods, Inc. v. Boatright Trucking, Inc., 824 S.W.2d 517, 520 (Mo. App. 1992) for the proposition that we should interpret the stipulation regarding compensation rate in view of the result the parties were trying to accomplish. We gather that employee is now alleging that the parties did not intend to stipulate a compensation rate of $\ 340.12 at the hearing and that we can give effect to the parties' actual intent by modifying the compensation rate, notwithstanding the Second Injury Fund's objections.

The problem with employee's argument is that employee advances no evidence of a mistake. After a careful review of the transcript, we find no indication that the parties made any mistake in stipulating that the weekly rate of compensation for permanent total disability benefits is $\ 340.12. If there were a mistake, it would seem the parties

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[^0]: ${ }^{2}$ We are unable even to determine when the exhibit was allegedly created, as it bears no readily legible date, and employee does not provide any such information in his brief or Application for Review.

Injury No.: 03-140766
Employee: Bentley Gilbert
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had ample opportunity to correct it when, at the hearing, the administrative law judge asked whether there were any other stipulations or issues of which she needed to be aware, and again when she reopened the record and invited a substitute stipulation on the issue of rate. Consequently, it appears to us that the result the parties were trying to accomplish was to establish a rate of $340.12 for permanent total disability benefits. That thereafter employee revised his position as to the issue of compensation rate and subsequently failed to take advantage of an opportunity to submit a substitute stipulation to the administrative law judge does not provide us with evidence that the parties were trying to stipulate a rate other than $340.12.In sum, because employee has failed to demonstrate circumstances satisfying our rule pertaining to the submission of additional evidence, and because we will not amend the award to contravene a stipulation of the parties where there is no evidence on the record that there was any mistake regarding the meaning of that stipulation, we must deny employee’s request to revisit the administrative law judge’s determination that the weekly compensation rate for permanent total disability benefits is $340.12.
Award
The Commission supplements the award and decision of the administrative law judge with our additional findings and comments as set forth herein.
The award and decision of Administrative Law Judge Victorine Mahon, issued January 23, 2012, is attached hereto and incorporated herein to the extent not inconsistent with this decision and award.
We approve and affirm the administrative law judge’s allowance of attorney’s fee herein as being fair and reasonable.
Any past due compensation shall bear interest as provided by law.
Given at Jefferson City, State of Missouri, this 29th day of August 2012.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
V A C A N T
Chairman
James Avery, Member
Curtis E. Chick, Jr., Member
Attest:
Secretary
Employee:Bentley GilbertInjury No. 03-140766
Dependents:N/ABefore the
DIVISION OF WORKERS’
Employer:Brundage Bone Concrete Pumping, Inc. (settled)COMPENSATION
Department of Labor and Industrial
Additional Party:Treasurer of the State of MissouriRelations of Missouri
as custodian of The Second Injury FundJefferson City, Missouri
Insurer:Builders Assoc. Self Insurance (settled)
Hearing

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